EMPLOYEE AVAILABILITY / CHANGE OF AVAILABILTY REQUEST FORM
EMPLOYEE: Show the times and days you are available for work. Whenever your schedule changes, request this form, complete it and
return it to your manager or supervisor. Any changes must be presented to a manager or supervisor 10 days in advance.
Employee Name: ______________________________
Jose Perez Position: __________________________
Sales associate
I am available to work the following days and times:
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
From 9 AM 9 AM 9 AM 9 AM 9 AM 9 AM 10 AM
To 10 PM 10 PM 10 PM 10 PM 10 PM 10 PM 8 PM
Employee Signature: ___________________________ Date: _________________
07/21/25
If there are changes to original availibility, make changes below (Manager must approve changes):
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
From
To
Notes/Explanations
Employee Signature: ___________________________ Date: _________________
07/21/25
Supervisor Signature: ___________________________ Date: _________________